Institutional Handbook of Operating Procedures Table of Contents

The policies in this section describe policies, practice standards and operations for various UTMB Departments and areas of operation.


UTMB respects the diverse cultural needs, preferences, and expectations of the patients and families it serves to the extent reasonably possible while appropriately managing resources and without compromising the quality of health care delivery.

 


Table of Contents

Policy Title Category
01.01 - Authority Statement for the Department of Infection Control Healthcare Epidemiology Healthcare Epidemiology 39 System.Byte[]
01.02 - Bloodborne Pathogens (BBP) Occupational Post-Exposure Management Healthcare Epidemiology 39 System.Byte[]
01.03 - Care and Maintenance of Ice Machines and Portable Ice Carts Healthcare Epidemiology 39 System.Byte[]
01.04 - Care and Monitoring of Refrigerators and Freezers Healthcare Epidemiology 39 System.Byte[]
01.05.02 - Infection Control Policy on Sterilization of Semi-Critical and Critical Medical Devices Healthcare Epidemiology 39 System.Byte[]
01.05.04 - High Level Disinfection of Semi-Critical Medical Devices Healthcare Epidemiology 39 System.Byte[]
01.05.06 - Cleaning Disinfection and Storage of Noncritical Patient Care Equipment Healthcare Epidemiology 39 System.Byte[]
01.06 - Control of Ectoparasites and Environmental Pests Healthcare Epidemiology 39 System.Byte[]
01.07 - Disposable Patient Care Items Healthcare Epidemiology 39 System.Byte[]
01.09 - Employee Health Center Communicable Disease Control Healthcare Epidemiology 39 System.Byte[]
01.09 - Employee Health Center Communicable Disease Control Healthcare Epidemiology 39 System.Byte[]
01.10 - Standard Operating Procedure Epidemiologic Investigation Healthcare Epidemiology 39 System.Byte[]
01.11 - Evacuation of Electric Surgical Laser Plume Healthcare Epidemiology 39 System.Byte[]
01.11 - Evacuation of Electric Surgical Laser Plume Healthcare Epidemiology 39 System.Byte[]
01.12 - Expiration Dates for Sterile Items Healthcare Epidemiology 39 System.Byte[]
01.12 - Expiration Dates for Sterile Items Healthcare Epidemiology 39 System.Byte[]
01.13 - Guidelines for Handling Linen Healthcare Epidemiology 39 System.Byte[]
01.13 - Guidelines for Handling Linen Healthcare Epidemiology 39 System.Byte[]
01.14 - Hand Hygiene for all Healthcare Workers Healthcare Epidemiology 39 System.Byte[]
01.15 - Hospital Visitation Healthcare Epidemiology 39 System.Byte[]
01.15 - Hospital Visitation Healthcare Epidemiology 39 System.Byte[]
01.16 - Prevention of Healthcare-Associated Zika Virus Infections Healthcare Epidemiology 39 System.Byte[]
01.17 - Prevention and Control of Influenza Healthcare Epidemiology 39 System.Byte[]
01.18 - Infection Control Guidance for Central Lines and Other Infusion Devices Healthcare Epidemiology 39 System.Byte[]
01.19 - Isolation Precautions Healthcare Epidemiology 39 System.Byte[]
01.19.01 - Postmortem Care of Isolation Patients Healthcare Epidemiology 39 System.Byte[]
01.19.02 - Isolation Precautions in Clinics Healthcare Epidemiology 39 System.Byte[]
01.21 - Tuberculosis (TB) Control Program Healthcare Epidemiology 39 System.Byte[]
01.21 - Tuberculosis (TB) Control Program Healthcare Epidemiology 39 System.Byte[]
01.22 - Control of Multi Drug Resistant Organisms MDRO Healthcare Epidemiology 39 System.Byte[]
01.23 - Collecting and Handling of Laboratory Specimens in Patients with Confirmed or Suspected Coronavirus Disease 2019 Healthcare Epidemiology 39 System.Byte[]
01.24 - Enteral Feeding Process - Adult and Pediatric Healthcare Epidemiology 39 System.Byte[]
01.25 - Infection Control Practices for Bronchoscopy Procedures Healthcare Epidemiology 39 System.Byte[]
01.26 - Reporting and Notification of a Communicable Disease Exposure for Emergency Personnel Healthcare Epidemiology 39 System.Byte[]
01.27 - Reporting Communicable Diseases to the Health Department Healthcare Epidemiology 39 System.Byte[]
01.29 - Management of Hysterectomy Surgery Patients Healthcare Epidemiology 39 System.Byte[]
01.30.01 - Surgical Infection Prevention Bundle for HPRO and KPRO Surgery Patients Healthcare Epidemiology 39 System.Byte[]
01.30.04 - Management of CABG Surgery Patients Healthcare Epidemiology 39 System.Byte[]
01.30.05 Management of LVAD Patients Healthcare Epidemiology 39 System.Byte[]
01.31 - Transportation of Patients with an Infection or Communicable Disease Healthcare Epidemiology 39 System.Byte[]
01.32 - Exposure Control Plan Healthcare Epidemiology 39 System.Byte[]
01.33 - Use of Thermometers Healthcare Epidemiology 39 System.Byte[]
01.34 - Varicella Zoster Virus Infection Control Program Healthcare Epidemiology 39 System.Byte[]
01.35 - Animal Assisted Therapy Healthcare Epidemiology 39 System.Byte[]
01.36 - Toys Dolls and Teaching Aids Healthcare Epidemiology 39 System.Byte[]
01.37 - Transmissible Spongiform Encephalopathies Healthcare Epidemiology 39 System.Byte[]
01.38 - Infection Control Risk Assessment (ICRA) for Healthcare Construction Renovation and Demolition Policy Healthcare Epidemiology 39 System.Byte[]
01.39 - Safe Ultrasound Practice Healthcare Epidemiology 39 System.Byte[]
01.40 - Prevention of Healthcare Acquired Pneumonia Healthcare Epidemiology 39 System.Byte[]
01.41 - Prevention and Control of Carbapenemase Resistant Enterobacteriaceae Infections Healthcare Epidemiology 39 System.Byte[]
01.42 - Methicillin Resistant Staphylococcus aureus Control Plan Healthcare Epidemiology 39 System.Byte[]
01.43 - Prevention and Control of Clostridium difficile Infections Healthcare Epidemiology 39 System.Byte[]
01.44 - Prevention and Control of Healthcare Associated Norovirus Infections Healthcare Epidemiology 39 System.Byte[]
01.44 - Prevention and Control of Healthcare Associated Norovirus Infections Healthcare Epidemiology 39 System.Byte[]
01.45 - Pertussis Infection Control Program Healthcare Epidemiology 39 System.Byte[]
01.46 - Prevention of Catheter-Associated Urinary Tract Infections Healthcare Epidemiology 39 System.Byte[]
01.47 - Guideline for Prevention of Surgical Site Infections Healthcare Epidemiology 39 System.Byte[]
01.48 - Management of Loaner and Consignment Surgical Instrumentation in the Sterile Processing Department Healthcare Epidemiology 39 System.Byte[]
01.49 - Bloodborne pathogens exposure to UTMB patients and visitors Healthcare Epidemiology 39 System.Byte[]
01.50 - COVID-19 Surveillance Policy Healthcare Epidemiology 39 System.Byte[]
02.01 - Anesthesiology Healthcare Epidemiology 39 System.Byte[]
02.01 - Anesthesiology Healthcare Epidemiology 39 System.Byte[]
02.02 - Blocker Burn Unit Healthcare Epidemiology 39 System.Byte[]
02.04 - Cardiac Catheterization Laboratory Healthcare Epidemiology 39 System.Byte[]
02.06 - Dialysis Healthcare Epidemiology 39 System.Byte[]
02.07 - Education Lab Training Center CPR Manikin Training Healthcare Epidemiology 39 System.Byte[]
02.09 - Environmental Services Healthcare Epidemiology 39 System.Byte[]
02.09 - Environmental Services Healthcare Epidemiology 39 System.Byte[]
02.10 - Business Operations and Facilities Healthcare Epidemiology 39 System.Byte[]
02.10 - Business Operations and Facilities Healthcare Epidemiology 39 System.Byte[]
02.11 - Infection Control for Food & Nutrition Services Healthcare Epidemiology 39 System.Byte[]
02.12 - Ophthalmology Healthcare Epidemiology 39 System.Byte[]
02.15 - Labor & Delivery Healthcare Epidemiology 39 System.Byte[]
02.16 - Parvovirus B-19 Exposures Healthcare Epidemiology 39 System.Byte[]
02.17.02 - Care and Maintenance Precautions for Privacy Curtains in Patient Rooms Healthcare Epidemiology 39 System.Byte[]
02.20 - Oral Surgery Clinic Healthcare Epidemiology 39 System.Byte[]
02.22 - Pharmacy Healthcare Epidemiology 39 System.Byte[]
02.25 - Radiology Services Healthcare Epidemiology 39 System.Byte[]
02.25 - Radiology Services Healthcare Epidemiology 39 System.Byte[]
02.27 - Rehabilitation Services Healthcare Epidemiology 39 System.Byte[]
02.32 - Antimicrobial Stewardship Program Healthcare Epidemiology 39 System.Byte[]
03.01 - IC plan for biological emergencies Healthcare Epidemiology 39 System.Byte[]
04.01 - Infection Control for the Care of Patients with Suspected or Diagnosed High Consequence Pathogens, Viruses of Special Concern or Emerging Infectious Diseases Healthcare Epidemiology 39 System.Byte[]